Incidentally, the healthy reference range is 191-663 pg/ml and correlates closely with oral cobalamin intake, which is why the vitamin B12 blood level alone is not an adequate parameter to diagnose a deficiency (Herrmann and Obeid, 2014)
Due to the fact that many peptides are injected, and thus go directly into your bloodstream with a 100% absorbability rate versus a standard supplement whose absorbability is under 40% you want to make sure what youre putting into your bloodstream is clean & not contaminated with metals or bacteria
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While many people obtain adequate B12 from their diet, some may find it necessary to supplement through injections
Naturopathic doctors licensed in Canada sometimes have more experience with peptide protocols and can provide guidance within their scope of practice